| NPI | 1801876446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL NELSON PISTONE Owner 843-234-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 26858) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-07-28 |